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Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes redness and swelling in eyelids of 10 month old?
I need help!!!!! My 10 month old daughter s eyelids are red and swollen (eye itself is clear). They are itching as well because she is rubbing them nonstop. she is also running a fever between 101-103. This is the 2nd time in a month that she has had red swollen eylids. The peditrician gave steriods and benedryl and the eyes got better. The fever only lasted 1-2 days but her eyes were swollen and red for over a week. But, 3 weeks later, it s back. Please help. We have seen E.R. doctors, Clinic Doctors, and two peditricians and they have all said something different from allergies, infection, Cellulitis to strep rash. The last Peditrician we saw that gave the steroid and benedryl stated that it was caused by strep throat. Again, the steroid and benedryl helped but now the red, swollen eyelids have returned. Please help. Note: she has no other symptoms other than decreased appetite, and sometimes loss of sleep (probably from itchy eyes) | Hi, Skin conditions are best diagnosed only after seeing directly. I suggest you upload photographs of the same on this website so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. You can approach me at the following link -www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696 Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Does low testosterone cause thick blood due to excess fibrin?
hi there, I have extremely thick blood due to excess fibrin, I have had an ISAC panel done at Esoterix to confirm, now we have very low testosterone even though I am taking 20 mg of sublingual DHEA and testosterone with Chrysin, my first two ISAC panel blood tests clotted with an anti coagulant in them, Dr. David Berg Pathologist had never seen this before, they put me on a product called Bolouke for the fibrin, then I had further testing at Igenex looking for Lymes and and other Pathogens and nothing showed up. Also my AST is elevated. I know this condition is not Hereditary, ruled out at Isoterix. I think that maybe the extremely low Testosterone is causing the blood problem, could you please advise, thanks Don. | Dear Don, There is no much literature on increased fibrinogen with low testosterone level, which leads to increased risk of thrombosis. I have not seen any such case so far. Bolouke is not recommended in any of the guidelines so far. There is a study stating that when supranormal doses of testosterone was given to normal subjects, there was reduction in fibrinogen levels by about 20% over 52 weeks. Hope testosterone therapy will do the trick for you. Also please note that fibrinogen is a acute phase reactant and its levels can be elevated in constions such as Tissue damage/trauma, Infection, Cancer, Acute coronary syndrome, Stroke, and Inflammatory conditions. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat | |
Why does a child vomit after consuming milk?
My daug ht er will be 12 months old tomorrow and we switches her to whole milk abput a month ago when I found out I was pregnant again. She was a breast fed baby. She seemed to be doing ok with the whole milk until 2 days ago. Now after.she drinks it she throws up and it looks like cottage cheese and smells really bad. Whats causing this? | better start some formula milk as whole milk is not suiting your baby most formula milk with multinational brand are better | |
Pain behind skull, blurry vision and headache. MRI shows bulging disc at c6/7. On medication. Serious?
Hi doctor, My MRI report shows I have bulging disc at c6/7 I have been given medication and looks like no effect I m now having pain behind my scul, blurry vision and headache . I asked my doctor how serious is my injury and he says small. Doctor I like to know how long my injury will take to heal and are these symtoms commonThanksDsouza | Hi,The symptoms you have are unrelated to the disc bulge you have in the neck. The disc bulge sometimes may get reduced and sometimes may need surgery to be treated. Regular scans to determine the progress is a requirement.Regards, | |
How to get rid of itchy rashes on my inner arm and hands?
I had a complete hysterectomy on March 10. A week after that I developed a rash that was on my inner arms and hands. It progressively got worse. I was given a steroid pack and cream to use on April 11. The rash on my arms is gone for the most part but I am still itching and break out in red blotches in the most random places. Every night I go to bed praying that I will get some sleep and the itchng won t keep me awake. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Rash on hand with itching at night could be due to Scabies. Check whether any of your family member have these symptoms or not. Scabies is usually associated with lesions in family members. Kindly consult your Dermatologist and follow his/her instructions.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Siva Subramanian. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
How can delusional and irrational ideas be curbed?
I often, actually all the time think of delusional and irrational "theories", these little tweaks that I can apply to my life that will change something drastically, for example, nose breathing to be better looking. The things I think of don't even connect in anway. I think coffee will make me perfect in all my endeavors, things like that. Once I put 12 tic tacs in a 500 ml of water and let it dissolve, and then drank it. I thought it'd make me somehow, "perfect". there are more of what I did on @takenbyocpd on twitter, please help me, i thought i had ocpd but i don't know anymore | Hello,This is not like OCD. It is more of a wishful thinking and when you have it you tend to follow the though. Later you realize that it was all absurd..but such thoughts come on and off to you.This can be said to be a part of spectrum of psyhosis, but not actually psyhosis. However, as the symptoms seem to bother you now and before you loose touch with the reality completely, it will be wise to start with low dose antipsychotics. Drugs like- palliperidone or amisulpride are sufficient. You may consult your doctor for the same.Also, avoid drinking alcohol/smoke /using cannabis-they can aggravate the matter even more and render this more difficult to treat.Wish you luck.Dr. Manisha GopalMD Neuropsychiatry | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Q. Can brain tumor cause one-sided headache?
Hi doctor, I am getting one-sided headache. I do not get them often. They are behind my right eye and temple area. Now this time I am also fighting with heavy cold and cough. It came on late morning today and it hurts more when I cough or shake my head or bend over. Prior to this, I had the same headache about four months ago. At that time it came on midafternoon and lasted till next morning. Prior to that, I had the same headache exactly on the right side and lasted for a day. I am on CCB and Protonix. I am scared of brain tumor. Please help. | Hi. Based on what you have told, this is more likely to be due to sinusitis. Sinuses are small air filled cavities in your skull bone. They can get infected and when they are infected, you will get headaches behind eyes. Such headaches will be more common during cold and cough. Brain tumor headache will be on both sides, more in forehead and you will also have vomiting in that case. Based on what you have told, this is more likely due to simple sinus infection instead of brain tumor. CT brain and CT paranasal sinuses. For further information consult a neurologist online.---> | |
Suggest treatment for paralysis
Hello! I am doing a report about paralysis. I have a question that i would be glad if answered by a doctor. my question is, how long does paralysis take to heal (It could be not entirely)? What are the main therapies or treatments that are in this process? Thank you very much for your time. It is very appreciated! | Hello dear,Sure I would like to help you out.Paralysis can be due to a variety of causes and depending on cause,it takes time to heal, partially or completely,again depending on the cause.Paralysis due to brain lesions like stroke,may take days or months or even more than a year to recover.Paralysis due to spinal cord like myelitis may take days or weeks to recover.Compressive spinal cord disease may require surgery for cure.Nerve disease like acute polyneuropathies may take weeks or months to recover.Please be precise,may be then I can help better. | |
What could be the recurring itchy lumps on the crown of my head?
HI, I am 35 years old and just under 6ft tall and I am 13.5 stone, I have some lumps on my head (crown) that come and go, they get ichy and if I push on them they bleed watery blood and then bright red blood and but will still bleed for about 2 to 3 hours after i have done this, Any advice would be helpful, Cheers. | Hi.Thanks for your query and an elucidate history.This can be some sort of dermatitis, it bleeds as the scalp has very good blood supply. Consult a Dematologist for a proper diagnosis in such cases can be made by visual inspection .The treatment will definitely depend upon a correct diagnosis. | |
Should I take anti rabies vaccination after the dog bite?
hello, our dog was injected an anti rabies last june and he was bitten my son 5 days ago, is it safe for my son not to take an anti rabies immunization again? last year he already bitten and i seek the doctor for anti rabies and he gave him 3shots of vaccine anti tetanus, first shot of anti rabies and we proceed to day 3,day 7,day 21, and we did not proceed to day 28 because they are both ok. every year my dog has a regular anti rabies vaccine and a complete immunization by her veterinary.. i just wondering if my son need an anti rabies again? thank you | Hello,Welcome to HCM,As your son was bitten by your pet vaccinated dog and also previously vaccinated against rabies with three shots of anti rabies vaccine.Dog is a known reservoir of rabies virus and can transmit rabies by biting, which is 100% fatal but 100% preventable by proper and adequate treatment.your son will be identified has Re-Exposure according to WHO categories and he requires two shots of anti rabies vaccine on days 0 and 3.Day 0 is the day of first of anti rabies vaccine. I would suggest you to consult your doctor for taking these two shots of anti rabies vaccines.Thank you. | |
Does 2.5 mg of methotrexate for arthritis lead to hair fall?
Hello, I just started taking methotrexate for arthritis pain and also just found out that it causes hair loss. What percentage of people taking this drug do lose their hair. I am taking only 2.5 mg to start. Is that enough to cause hair loss? Brenda | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your query of hairfall, my treatment advice is - 1. Methotrexate can cause hairfall in higher doses. 2. You need to go for investigations like hemoglobin, serum iron and B12 to rule out other cause of hairfall. Hope I have answered your query. Let me know if I can assist you further. | |
Anemic and alcoholic feeling breathless. Any relation between anemia and alcohol and provisional diagnosis
a patient complaint of breathlessness on examination he was anaemic history revealed that he was alcoholic too explain relation between his anemia and alcohol causes and complications of chronic gastritis and please tell the differential and provisional diagnosis. . .its urgent plz plz answer as soon as possible | Welcome to health care magic.My dear friend anemia in alcholalics results from a combination of intravascular dilution due to volume overload, shortened red cell survival, and impaired ability of the marrow to respond optimally to the anemia.Alcohol abusers can develop a sideroblastic anemia, impaired folate metabolism or may have direct suppression of hematopoiesis by alcohol. Patients with cirrhosis of any etiology are at increased risk for hemorrhage. Blood loss occurs in patients with alcoholic cirrhosis.The upper gastrointestinal tract is the major site of bleeding includin chronic gastric ulcers and varices but loss of blood from the nose, hemorrhoids, and uterus occurs in association with coagulopathy of hepatic origins leading to anemia,thanx for query. | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Suggest remedy for vomiting and diarrhea after food intake
When I eat, I have to go to the bathroom with diarrehea and vomiting within 10 to 20 minutes (sometimes during the meal). There is no stopping it or waiting. The vomiting is severe. I have been trying to get my Drs. to find out the cause for over 20 yrs. and have had no luck. The only thing they have prescribed is Promethazine 25mg. which does not help. I have the pills and gel. No luck with either. | Hello,Seems a case of diagnostic dilemma causing agony on your part. Would strongly recommend to consult with all details of symptoms, scanned copies of old reports to study the case very deeply and arrive to some definite conclusion to provide the best possible outcomes. General remedies (as pills and gel are not working) are:• Prefer more of liquids in sessions • Soft light diet at intervals• Avoid all oily, non veg, chilly items, spices, beverages, alcohol, smoking, any abusive substances if any used• Keep stomach always empty by 25% amount of satiety level• Avoid sleeping for at least 2 hours after meals• Avoid late night dinners • Regular walking, exercise, yoga will help on long-term basis• Keep blood sugar, cholesterol, weight, BP under control• Avoid stress, anger • Try to have good sleep of minimum 6 to 7 hours • Prefer boiled water intake till possible, avoid all commercial preparationsHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purva Patel | |
Suggest treatment for poor concentration in work
Hi! My wife is an MBA. But, she is not up to the mark when it comes to mind activeness. actully she cant observe things which are going on around. And she cant compile talks. If some one does any thing in front of her she doesnt observ or realise whats happening. I have to tell see whats going on, then she swicth on her mind. | hi dear,since when she is having such problem?or she has such nature?have you converse with her what goes in her mind and what is the reason behind not having proper concentration?is there any symptoms associated like sadness of mood, loss of interest, sleep and appetite disturbance, irritability etc...consult psychiatrist for detail history and mental status examination.Thank you | |
Is it safe for my wife to take unwanted kit?
hello sir, my wife is 19 year old, her last mens date-13/08/2011, we intercrose on 04/09/2011, but till the date her period not come, means two & half month already late, today we check prega news kit test,but out off two indicate lines,one is pure red(c) & another slight red(T), so now it possible to take unwanted kit, please help us. | Hello,Firstly, please confirm the presence of an intrauterine pregnancy and also the age of the pregnancy through a trans-vaginal sonogram and a clinical evaluation by a specialist. If pregnancy is confirmed and if you do not wish to retain it, please ask your consultant if a medical abortion is possible (medical abortion is done up to 9 weeks of pregnancy only). Proceed for an abortion, either medical or surgical, as suggested by the doctor, with proper precautions and preliminary investigations like coagulation profile and urinalysis. Hope this helps. | |
Suggest remedy for painful lumps in skin
Hi--I am a 60 year-old, moderately obese Caucasian woman with multiple health issues, but one in particular worries me. I have MANY extremely painful lumps under the skin, all over my body. Some of them are turning a bluish color, and if I touch or bump them, they cause great pain. They started appearing about 5 years ago, when I was dx d with fibromyalgia. The doctor says it s just your fibromyalgia but anything I have read doesn t say that the lumps are so painful--that they are more of a nuisance than anything. What I have cannot be called a nuisance--they hurt!! Any ideas? | thanks for sharing your concern!there is nothing to worry about this; these are nothing but possibly neurofibromas! could be hemangiomas also!for confirmation an FNAC test is useful in such cases!regards, | |
What causes an altered sense of taste?
i keep getting an unusual taste in my mouth and throat, it comes and goes and goes and only started about three weeks ago. I have never had it before, its a sweet bbq sort of taste. The taste is always the same and comes at any time, anywhere no matter what I have eaten previously. I am a 67 years old male, Peter. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your explanation the symptoms of getting unusual taste in mouth and throat that comes and goes can be due to a number of causes like acid reflux, post nasal drip, oral or throat infection, increased blood sugar levels, nerve related problem etc. At times ot can be due to no specific reason. So my suggestion is to consult an Emergency room and get evaluated. A clinical examination and investigation as per suspected cause and a complete blood picture can be done to rule out the exact cause. For now drink plenty of water and do antiseptic mouthwash gargles. Hope I have answered your query. Let me know if I can assist you further. | |
My BP recently dropped whether active or not. what I should do ?
I have been diagnosed with a 4mm cerebellar ectopia, hypertonicity in my left strap muscle, a basilar vein pushing on my 12th cranial nerve and recently got a blood test back for pyruvic acid which was slightly elevated. my BP is usually 116/79 PR 70-79 it has recently dropped whether active or not to 90/55 and PR 60-65. do u have any suggestions as to what i should do ? i m on no medication as of the moment awaiting a call back from a neurosurgeon . | Thanks for the query You dont have to worry about the BP until the systolic is 90. But what worries me is the cerebellar ectopia, as u have rightly suggested, meet the nerurosurgeon. Pulse rate is within normal limit Slight diurnal variation and positional variation of BP will be there, dont worry about it Have a healthy life | |
What causes a lump at the front of the arm next to armpit in a toddler?
My toddler has a lump at the front of his arm next to his armpit. An ulstrasound was done and a Paed saw him in October last year and the conclusion was that it was probably a haemangioma under the skin as it was previously the site of what was thought to be a small strawberry naevus. The Paed advised it would probably disappear on its own but if it grew to contact him for urgent surgical review. Since before Christmas it has gone from the size of a large pea to the size of a large grape. He has been back to the Paed who has referred us to a surgeon. My question is, should I take my son to the hospital immediately and ask them to look at it or should I wait for the surgeon to get down to me on his waiting list - they cannot tell me how long till they will even contact me to make an appointment, let alone the appointment itself. Obviously I am worried that waiting on this could be a bad idea. | Hi, You should take your son immediately to the hospital and get him checked. You should not wait when you know that the chance of appointment is minimum. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Yasam Lavanya, General & Family Physician | |
What causes bump on the pubic area? Is it folliculitis?
I have this bump on the right side of my pubic area and I was wondering is it folliculitis? I have had a bump like this before a fewmonths back also and it went away after a while. I assume it was folliculitis since the pubic region has hair and I usually get themwhen I am sweating a lot from the tempreture. | Hi,welcome to HealthcareMagic forum.Your condition can well be a folliculitis.It needs treatment with antibiotics and analgesics.I usually gives amoxicillin+cloxacillin to my patients(if not allergic to penicillin).If it does not come down in 2-3 days of tretment,may need incision and drainage.To prevent recurrent attacks,keep good local hygiene-keep area clean and dry.Regular trimming is good(tuft of hair promotes moisture and bacterial colonization)I hope you will find this information useful.Thank you. | |
Q. How can running nose be effectively treated?
Hello doctor, I have been suffering from a running nose for the last one week and sometimes it is very difficult to breathe especially after taking food, it is becoming worse. I had taken two Coldact tablets for only one day, but no luck and also have been using the Otrivin (Xylometazoline) nasal spray for temporary relief. Please help. | Hello. This is upper respiratory tract infection, You need to take the following tablets: Tablet Ibuprofen 400 mg two times a day times five days after food, tablet Deslor (Desloratadine) one a day times five days after food, tablet Rabeprazole 20 mg two times a day times five days after food, and tablet Vitamin C 500 mg two times a day x 10 days after food. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You can continue Otrivin (Xylometazoline) nasal drops for two days. Do not take any of the above medicines if you are allergic to it. Follow up immediately in case of any untoward reactions.Drink lots of water and keep yourself hydrated. But avoid drinking cold fluids. Avoid spicy foods and avoid foodstuff with a lot of oil and butter. This usually takes two to three days to get better. If symptoms do not get better then antibiotics will be required. Follow up in five days. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult a family physician online --> | |
Can marijuana smoking cause problem after coronary bypass surgery?
I used to be a smoker until I had triple coronary bypass surgery July 27, 2011. I was told afterwards by a doctor that if I continued to smoke after the surgery (I have quit smoking tobacco totally since the operation and will never resume tobacco smoking again) that the new arteries around my heart would suffer a spasming and start to shrink, causing blockages again. This even applied to being exposed to second hand smoke. I am an ocassional marijuana user, though not since the surgery. I was told that this spasming and shrinkage also applied in regards to smoking marijuana. Is this true or was this an attempt by a very anti-marijuana, anti-smoking doctor to keep me from smoking pot again? What if I were to use a vaporizer, so that I am not taking in the harmful by-products of actually combusting the pot ? Incidentally, I have no heart damage from the blockage that I had repaired, am a 53 year old physically active male, and have no desire to undergo another bypass, although heart disease is a definite history with the men from my fathers side of the family. Grandfather, 2 great uncles, 1 uncle all dies of heart related deaths (stroke and heart attacks), 1 uncle has also had a quadruple bypass, and my father died of a sudden massive heart attack at the age of 68. I thank you for any answers you may have as I am honestly interested in ocassional marijuana smoking in the future. | HelloAfter going through the medical details provided by you i would like to tell you that ITS NOT ADVISABLE OR WISE TO SMOKE MARIJUANA at all specially after bypass. It can very well lead to coronary artery spasm or promote atherosclerosis further leading to heart attack.Marijuana is also known to promote arrythmias which can prove fatal at times.Regards | |
How can severe depression and anxiety be treated?
I witnessed my 18 month old daughter aspirate on food. She went limp. It took ambulance 18 minutes to get to our house. She never regained consciousness and died in my arms the next morning. This was 1993. I suffered severe depression....guilt ridden......nightmares on a regular basis....severe anxiety at the sound of sirens...contemplated suicide every day. I went to church and counseling. My husband was not interested in either. He took a leave of absence from work for 3 months. He went fishing every day...left me alone at home. I was desperate to have another child. We finally did get pregnant with twins....I was hypervigilant. The twins were born in 1996. Things were good. Fast forward...2007, my mom died unexpectedly.....I was main support for my father. My husband s sister died 1 month before my mom did...then 3 weeks later, her daughter committed suicide...shot herself in the head. In 2014 my husband was in a car accident...8 days in a coma for 8 days...we withdrew life support. Next my father died....less than a year after. Next, my older sister died unexpectedly after years of fentanyl and prescription drugs. All these deaths were back to back. The death of my sister recently has thrown me into back in to severe depression and anxiety...who s going to die next?? Don t want to get out of bed. | Dear patient.Multiple back to back life stressor makes one vulnerable to depressive episodes. Multiple suicidal attempts with mood changes may be underlying severe depression. you need to consult psychiatrist. U may need antidepressants and psychotherapy . But if depression is left untreated it may markedly disturb your psychosocial professional aspects of lifesooner u seek helpbetter it would be | |
What causes bloodshot eyes after an eye injury in a child?
Hi my 7 yo daughter was hit in the eye by a soccer ball 7 hours ago. Her eye is bloodshot and she says things look foggy. Is this normal? How long does it generally take for vision to clear? Or should I take her to a doctor right away? She s not complaining of pain. And there is no bruising around the eye at this point. Thank you | Hi,Any blunt injury on eye should never be neglected.This injury might cause some injury to eye ball, lens, cornea or even retina.It might produce corneal ulcer or traumatic cataract in future.It is advisable to consult ophthalmologist to rule out any internal eye injury.Meanwhile put antibiotic eye drops 2-3 hourly.Ok and take care. | |
How can Dilantin levels be reduced in the bloodstream?
If you have Dilantin toxicity, what do you do for a pt to decrease this amount in blood stream. Say, 72.7 Dilantin levelis the concerning number. Pt has nausea and vomiting and just had a lung biopsy and went without breakfast. Pt presents to the er with N/V. What tests would you run besides BS, CBC, Dilantin Level? | Hi, dearI have gone through your question. I can understand your concern.Dilantin toxicity is emegency condition and airway and breathing should be taken care first.Multiple dosage of activated charcol should be given for GI decontamination. Benzodiazepines are given to control seizures.Many investigations are required for high dialantin level.First of history of other drug and possible interaction should be taken and if required other drug levels should be done.CBC, liver function test and electrolytes level are routinely investigated.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. | |
Why is Lupride injection given for lactopic pregnancy?
HI my name is NITIN my wife has undergone Laproscopy for the blockage in Felopian tube...her Rt. Felopian tube was cut due to Lactopic pregnancy.... Now doctor has given her Lupride inj on 18th day of mensus..I want to know for what they have given her this injection... | Hi,Welcome to healthcare magic. I have read your question.I would like to reply as below:1) Lupride injection are not given for ectopic pregnancy.2) They are given if IVF procedure is planned probably.If you have any further queries, let me know so that I can help you much better.Wish you good health.Dr. Soumya | |
Is it normal to an extra rib in the back?
Good evening, I just noticed on my 8month old back that seems to be lump. After further investigating it seems as though it might be an extra rib. Is that normal? Can it be an extra rib? It s only on his left side. As I was messing with it, it didn t seem like it was hurting him. I m freaking out because I have no idea what it can be. His next pediatric appt isn t til august. Should I call to make an appt? Can it wait? Should I wait? What happens if it is an extra rib? Why does that happen? How did it happen? Could it be something I did during pregnancy? | thanks for posting... firstly, how are you sure that its an extra rib? have you done a x-ray? extra rib on one side if asymptomatic will not cause any problem, you need not worry. However there may be associated vertebral anomalies which needs to be ruled out in a x ray... the xray if posted will be helpful... you can wait.. its usually congenital... no, its not realted to something that you did during pregnancy..... lastly i dont think that is an extra rib or your pediatrician would have noticed it earlier. | |
Can abnormal morphology at 75% in semen analysis effect pregnancy?
Hi, i am from delhi (India), There are the results of the analysis of my sperm , Time of specimen : 10:55<>time of Examination : 11.25duration of abstinence : 3 days>Liquefaction : 30 minVolume : 5 MLAppearance :Viscid opaqueColour : WhitishViscosity : ThickPh : 7.5Abnormal morphology 75.00 %(a) Head defects 40 %(b) Neck & midpiece 20 %>(c) Tail defects 15 %I would like to know that is above value is better for pregnancy, Please Suggest me if there is any issue . Thank you in advance. Sincerely | DR. PRERNA GUPTAMBBS (AIIMS), MD (AIIMS), (Gold Medalist)DNB, MNAMS, MRCOG (UK)Commonwealth Fellow in Reproductive Medicine (BCRM, UKConsultant (IVF & Reproductive Medicine)Department of Obstetrics & GynecologyMoolchand Medicity, N DelhiHi,thanks for the query. As I can see from the report there is abnormal morphology in 75 percent of sperms. while it may look of concern at first sight. however with a morphology of more than 15 percent normal. there should not be any problem in conceiving . I cannot see the report of count and motility. , this will also determine the fertility potential.. | |
What causes severe swelling in the tongue after tooth extraction?
Hello,On Saturday I had my wisdom tooth pulled, I slept for the rest of the day. Sunday when I awoke I couldn’t talk, when I went to go rinse my mouth with the solution I was given I noticed my tongue was swollen and terribly bruised. I went back yesterday and the head Dentist said I might have caused it while I was eating. I explained to him I slept all of Saturday and had nothing to eat on Sunday.I wish I could send you a picture and give me your opinion. Also, my molar still hurts. Which is the one I pointed in the first place. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. .Swollen and bruised tongue can be due to either allergy or trauma to the tongue. There is a possibility of accidentally biting tge tongue when it was numb leading to swelling due to traumatic injury. You should take Levocetrizine or Allegra as it can help in reducing swelling if it is due to allergic reaction. Also a steroid shot can help in improvement. Do cool compresses over the tongue or suck ice pops.Take soft diet and drink plenty of water and other fluids. Avoud anything that is hard and spicy. Keep a check over the swelling Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora | |
What causes protein in urine after kidney stone removal with DJ stenting?
I am Type II diabetic individual, a uretheroscopy was performed on me 15 days back for kidney stone and DJ stent is placed in the bladder and kidney. Doctor had asked me to do a a urine routine, CBC and a fast and post sugar report. The sugar reports 158.6 fasting without trace of sugar in urine and post with 220.2 with sugar present in the urine. Also the urine shows protein present (+) as of now i am not on antibiotic and having zyloric, buscospan, fruselac and ganaton and patoacid(gas probelm). I now feel slightly feverish and low in the night. Please advise reason for protein and whether the treatment is in the right direction. | Hello,Protein in the urine in your scenario is more likely due to your underlying type 2 diabetes rather than following the Dj stunting procedure.It is however as a possible following Dj Stenting due to small injuries to the urinary tract because of the foreign body causing protein in urine.Ankther possibility given your complaint of fever could be due to infection. I would ask you to review with your doctor if fever persists.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Karthik Rajan | |
Is total sperm count of 38,600,000 normal?
Hi doc, my husband just take his semen analysis and the result is.. color:CREAMY WHITE, viscosity: SLIGHTLY VISCOUS, liquefaction time: AFTER 3 HOURS, volume: 3.1 cc, Specific Gravity: 1.010, PH 8.0, WBC:8-10/HPF, RBC;0-3/HPF.. TOTAL SPERM COUNT: 38,600,000/cumm.. do you think this is normal? thank you.. | HelloThanks for query .Based on the report of Semen Analysis of your husband that you have posted I would like to make comments in comparison to WHO standards as detailed below .1) Colour is normal 2) Viscosity is Slightly viscous which is abnormal and may be due to clumping of the sperms together .3)Liquefaction time is 3 hours .Normal liquefaction time is 30 to 45 minutes .High liquefaction time suggests clumping of the sperms mostly due to infection which hampers free mobility of sperms 4)Total Sperm count of 38 millions (In 3 ml of semen ) is also very low which in your case should be 120 millions .5)Presence of 8-10 pus cells strongly suggests infection either in seminal vesicles or prostate and needs to be treated with antibiotics.Other important parameters of semen like percentage of Motility of sperms and Morphology of the sperms are not mentioned in your report hence can not be commented on .Dr.Patil. | |
Q. Is it advisable to use Methamphetamine by a cancer patient while on treatment?
Hello doctor, What complications could arise from breast cancer treatment (surgery, chemo, radiation, hormone therapy) if the patient is secretly using Methamphetamine? Can and should a DR refuse treatment if they know of a patient’s Meth use? | Hello. Methamphetamine is CNS stimulant, it can have a lot of own side effects, if the doctor is not aware of drug use, many of the side effects of drugs will be difficult to interpret for doctor, drug use can have interaction with chemo drugs and can increase toxicity of drug or under the effect of drug. It is a personal choice of doctor, he should refuse treatment or not. | |
Q. I am 15-years-old and scared that I have been through precocious puberty. Have I finished puberty?
Hello doctor, I am a 15-year-old boy. I have questions regarding my hormones and my puberty. I am scared that I feel as if I may have been through precocious puberty as I have had a beard since I was a late 13 years old. Will I be able to grow still taller, and is there any way my hormones can be regulated and have I finished puberty? | Hello. Precocious puberty can be called when the onset of puberty is eight years or below for girls and nine years or below for boys. The beginning is not synonymous with a growing beard, which is a more advanced stage. Staging is usually done with a scoring system called tanner staging which considers pubic hair, testicular and penile development. You should note the first changes in these aspects. Females can grow until the mean age of 16, males for a period three to five years longer. The ethnic, familial, nutritional background is important for final height and pubertal development. As long bones, especially those of the lower limbs, are important to give the height, radiograph of ossification centers like those around knees can be taken. If all the centers are ossified, you are not likely to grow taller. As you are turning 16, it would not be appropriate to suppress your puberty which could be done at a younger age by GnRH analogs or a few alternative agents. I hope you got guidance. | |
I have kidney stone , which is not seen in X-ray & Sonography. How could it be possible?
Kidney stone , which is not seen in Xray & Sonography Hi I m 25 year old girl, 2 weeks earlier I got pain in back & stomach Dr says its a kidney stone they gave me medicin Neeri & Cystone. After that Xray & sonograpy is done nothing found in that. Should I continue these medicin or stop ? IS there any problem if i take calciyum tablets as in my body calciyum defecency is presents. Thanks | The medicines you have mentioned have no side effect and should be taken atleast for fifteen days after becoming asymptomatic. The reason for this is to flush out even the remotest stone that can cause recurrence. Regarding Calcium First get it tested if it is less only then consider of having it and that too in natural form and not as concentrated form. dr_lakhanpaul@yahoo.co.in | |
Why does one have a heavy breathing & a thumping sensation?
Last two out of the last three nights i have woken from my sleep in a huge sweat with my body feeling really cold and breathing really heavy, my heart thumping quickly and loud enough for me to hear or maybe just feel comfortably, each time this has been followed by my heart seeming to stop for a good 5 or 6 seconds making me feel how i can only really describe as numb, then it seems to kick back into a fast beat and slowly settles back to normal once i've got up. This has happened each time a total of five times over the two nights. I've also started having heart papiltations whenever i'm lying lying down, i smoke about 10-12 cigarettes a day and don't drink much caffeine, and have had no problems like this in the past and take no medication. | Your problems may be related to abnormality in sleep, particularly rhythm disturbance. The concern is sleep apnea. It is often present in people who are overweight, particularly those who snore. If you are very tired in the morning, sleep easily during the day and snore loudly, you may have sleep apnea. Sleep apnea may cause or worsen high blood pressure and is a common cause of abnormal heart rhythm requiring treatment.This is a great excuse to stop smoking. Call your doctor to discuss these symptoms and report on any of the above if present. If you can skip cigarettes until the appointment, you're on track. | |
What is emotional or hysterical amnesia ?
i need help with emotional/hysterical amnesia . i need to know like if you actually suffer brain damage , how doctors tell if you have it, how long it usually lasts and if you forget all of your past or just some, and how paitents usually act when they have it. i also need to know exzactly what you forget. | Hi, Thanks for query, if this problem is due to some brain damage,by physical and other examination doctor can find out. Apart from exam.he will have reports of ct scan,x-ray etc. In your inquiry hyseria and amnesia remains for long time as long as presence of some body.on examination doctor can find out that it is hysterical or not. on examination doctor can find that no symptoms are fitted with any brain problem. Of course before stamping hysterical all investigations should be done. ok and bye. | |
What causes bruising on the skin at the tuberculosis testing site?
I had TB test done over a month ago, it read negative. It was red with no induration to site. The area looks the exact same as it did a month ago. Small red circle smaller than a dime. What does this mean? It also bruised to the site about a week after having it done.. | Hello,It indicates chronic infection, it is not accurate but it gives you rough idea. If you want to know accurate cause, then do blood test.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purva Patel | |
What causes eye squinting with red spots under the eye?
Hi ... my 16 mth old has been pointing and squinting with his left eye or the past month... I took him to our local GP... they said a duct was blocked...and gave me a script to fill if it became inflamed like a stye... however he is doing the squint and point more regulary and no sign of a stye... however small red dots seem to appear and disappear underhis eye on the skin... Thx | Hi...Thank you for consulting in Health Care magic. Skin and eye conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Regards - Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
High liver enzymes, AST and ALT high. How can I bring them to normal? Cirrhosis likely?
Hello. My liver enzymes are extremely high. The AST was 729 and the ALT was 623. Do you need any other results? I stopped drinking and im curious as to how much i can expect those enzymes to decrease over two weeks, and how long could i expect them to return to a normal range? I think a fatty liver must be pretty obvious. Also, is there a common enzyme level or range that confirms cirrhosis or it s likelihood? Thank You | Hello, Cpver360, You mention that you stopped drinking which is wonderful. The extent of liver damage depends on the duration of alcohol abuse and also the quantity of consumption. If you have been a steady drinker or even a binge drinker for a number of years,then definitely you have caused liver damage. The levels of liver enzyme that you mention above are indeed high. AST should be around 40 units. and ALT should be around 50-55 units. The other numbers that we need are Bilirubin level, Alkaline Phosphatase, Total Proteins, Albumin and Globulin levels, Your complete blood count including platelet count, you also need coagulation factors such as Prothrombin time. You also need to know your electrolytes ,Sodium, Potassium, Chlorides, kidney tests Blood urea nitrogen, creatinine, blood sugar, lipid levels. After all this , you need an ultrasound of the liver and gallbladder to determine to see if you already have cirrhosis. I would recommend that you start taking a good Super B-Complex supplement (Vitamin) along with 800 i.u. of Vit-K and 1000 mg. Vit-C. A good diet high in protein will be helpful unless you have advanced liver disease when you might have to restrict proteins to avoid going into liver coma. Hope this information helps you to discuss with your own doctor and proceed accordingly. I wish you the very best. | |
What causes feeling of air bubbles passing through heart?
sometimes my heart feels like it all of a sudden is pumping extra hard like a surge of adrenaline or something and i have to take several deep breaths before it stops. there is no usual time it happens, just periodically throughout the day. It kind of feelis like air bubbles passing through my heart. do you know what may cause this? i m 23 years old, 5 8 and about 130 lbs. | Hi,It could be because of extra beat which happens sometimes called as PVC or Apc. It occurs due to sleep problem, anxiety, stress, alcohol, smoking, and thyroid problems. To confirm you ll need ecg and if it's normal then holter monitoring, echo and later may need thyroid test. Most of times they are benign And not a matter of worry. Treatment involves the treatment of cause and avoid smoking if any. If disturbing too much then you can get tab Ciplar LA prescribed from your local doctor.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode | |
What causes bruising on the sides of the nose in a child after head injury?
My 24 month old son fell down stairs in a playground last Sunday and hit his head. We went to emergency department and he was observed for 4 hours with no signs of too much damage. Had a nice bump and bruise on his forehead. However after about 2 days I started to notice bruising on the sides of his nose, in between the eyes. This bruising has been getting darker over the last 5 days. Should I be concerned about this? | Hello dear.The condition you described is subcutaneous bleed after trauma and the bruise was spreading and getting darker because soft tissue is much more in that area compared to other parts of the body so it spreads.Dnt worry it will settle in a week.It takes more time for healing as well.You can do cold compresses like placing an ice cube over it for sometime to prevent its further spread.Hope it will help.Stay blessed :-) | |
Suggest treatment for swollen gums and ear pain
I've had malaise for about 2 months. Had swollen gums and ear pain. Had teeth cleaned. Helped a bit. 2 weeks later had salivary gland infection prescribed Amox-clay 850mg 3 days after finishing medicine a new infection ear and throat swollen glands now on mew antibiotic cefdinir. Getting frustrated. Is this all related? | Hello,Ear pain is due to ear infection and as it is happening again it can be due to the lingering infection or recurring ear infection. Ear infection can also cause throat infection as ear and throat are related to each other via ear canal or Eustachian tube.So, my suggestion is to consult an otorhinolaryngology and get evaluated. An ear examination should be done to rule out the cause of recurring infection.For now, continue the antibiotic and can also use antibiotic ear drops for relieving infection faster. You should also start massaging the gums with chlorohexidine gel to reduce gum infection. Do warm saline gargles.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora | |
What causes stiff neck,insomnia and numbness in fingers?
I have had intermitant nose bleeds from the left nostril for up to 18months in the last 5weeks I have had no blood nose symptoms BUT HAVE INSTEAD HAD A DIZZY LIGHT HEADNESS AND VOMITED TWICE IN THE LAST TWO WEEKS. I have had breast cancer (two different types of cancer) 5 years ago. I have a stiff neck which is constantly sore, night sweats, insomnia and knumbness in my fingers early morning. Could this be a brain tumor as my Uncle had it and cancer /TB is in my family.? | Hello,The dizziness is not indicative of a brain tumor. When coupled with the stiff neck, I would conclude about chronic degenerations of the cervical vertebral column (spondylarthrosis). Regarding the numbness in your findings during the night, they are more indicative of a pinched nerve (Carpal Tunnel syndrome).Anyway, consulting with a neurologist for a physical exam would help reassure that nothing wrong is going on.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
What causes abdominal pain & constipation?
my 3 yr old has constipation problems but recently he has been screaming in pain that his stomach hurts and has a high fever. He has no other symptoms of being sick with a cold so I don't know why he has this fever. Is this just due to constipation or is it something more serious? | Hi.THANKS FOR YOUR QUERY.Read history about your child, constipation and fever ,One thing is for sure - constipation can not cause fever;Pain in abdomen with fever can be due to the following reasons in a 3 year old child The most probable cause of pain in a child -Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms.The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests.A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis.Also given is a dose of medicines active against worms in intestine.I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. | |
Suggest treatment for right subtle paracardiac haziness found in heart
Dear Doctor, I have received a report which displays : right subtle paracardiac haziness is found in my heart problem. Please suggest me what are the cures and precautions should I take. What is this disease exactly and how can it be cured? YYYY@YYYY | if you don't have any symptoms then it's normal. it sometimes can be normal or artefacts or angulation problem or old infection. in worst scenario it can be pneumonia but for that you need to be symptomatic.no need to worry and no treatment is required. | |
Suggest treatment for hiatal hernia, cold and nausea
I have a ringed hiatal hernia. I had a terrible cough and cold and now I have a nausea. I had a endoscopy at the end of April and a balloon was inserted during the procedure. Could my Terrible, Terrible cough have caused a problem with this hernia? | All. Your symptom could be because of. Hiatal hernia and reflux of food.This is because of microaspiration. | |
Suggest remedy for hard palate injury appearing like a white bag in a one year old
Hi, my one year old got a hard palate injury while falling on a spoon. The bleeding stopped shorty and the second day he looked fine, but the only thing that worries me is that in that area appeared a white bag. should i pop it, if its nothing to worry about, or does it seem something serious? | No its nothing serious. There are mucus membrane lining inside the oral cavity. Injury to the membrane cause mild ulceration with new tissue regenarating under the injured one. the injured on will gradually get loose and fall off as the new tissue regenerates. Dont pop it off , it will happen automatically or cause pain. ypu can apply ZYTEE one drop locally if there is any pain. | |
What causes pain in waist and pubic area?
Hello, I am in the process of moving, and basically moved my families 4 bedroom house with myself and 1 other guy. I am feeling a really sharp pain now above my waist or private area. Could this be hernia? I think I am realizing that I am not as young anymore. | Hi, hernia usually have swelling arising around and hernias usually are not painful, but still to clear doubts, consult a general surgeon. | |
What causes difficulty in breathing with chest congestion?
During the night i feel difficulties in breathing and when i breath a sound comes from my chest.I feel some congestion in my lungs and also cough badly.I also feel sneezing and irritation in my nose most of the time here in bangalore.I am from rajasthan ,when i am there i do not see any problem at all.but when i come to Bangalore all the problems start.i came bangalore 4 years before,but previously i naver had breathing difficulties but now it is getting worse.Please provide suggestion to cure this problem. | Hi,thanks for your question.I read carefully your question and in my opinion runny nose,breathlessness,chest sound(probably wheezing),cough and the fact that all this respiratory symptoms are worse during the night and when you change city suggest for allergic bronchial asthma.I recommend to go to your physician so he/she can order some necessary test like chest x ray(to exlude a pulmonary infection),pulmonary function test and skin prick test(to find if there is something to which you are allergic) to confirm Bronchial asthma and start treatment.Hope i answered your question.Wish you good health. | |
Lumps in breast. Been through mammogram and ultrasound. Multiple masses in right and left breast. Is this cancerous ?
Hi I went and seen a dr. today about lumps in my breast! I had a mammogram and ultrasound back in June of 2012 and it says multiple masses in the right and left breast with the largest one being 4 cm in size likely representing fibroadenosis plus bilateral masses seen largest is 3 cm...is this something to be concerned with as it could be cancerous??? | Hi and welcome to HCM. Thank you for your querry. No, there is a minor possibility that this is cancerous. This is typical finding of fibroadenomas. Such enlarged cancers would cause much more intensive symptoms. usually ultrasound can evaluate with high sensitivity is this malignant. If you want to be sure, biopsy can be performed but i dont think this is necessary. Just do frequent follow ups and everything will be fine. WIsh you good health. | |
How to treat swelling and pain in knees caused by Elephantiasis?
Hello Dr Rangadhar.... My Mother is Law is suffering from miled elephantiasis. Earlier ... 2-3 months back it was not very much problematic...but since last 2-3 months it has become really bad. She had swelling up the knees which has now gone below the knee also. It has a very severe pain. Please tell me what to do? | Thanks for you query at HCM!It is caused by filariasis which is a parasitic disease that is caused by thread-like roundworms that are spread by blood-feeding black flies and mosquitoes.It is caused by Wuchereria bancrofti, Brugia malayi, and Brugia timori.Supportive care must include prevention of secondary infection. Wash the affected area frequently, apply antiseptic creams to abrasions, keep their nails clean, wear comfortable footwear, and exercise the affected limb to aid lymphatic flow. Take bed rest, limb elevation, and compression bandages and analgaesic.She needs prescriptions drugs like di-ethycarbamezepine (DEC). Visit a local surgeon and get evaluated.Take care! | |
What causes rashes on penis in infants?
My 18 month old little boy has just had a bath, and I noticed one of his testicles was much larger than the other one, to the point we thought one of them wasn't even there! It is very red but has been for a few days along with the end of his penis which I thought was just nappy rash. It doesn't seem to be causing him any pain when touched? What could this be? | HelloThe redness and swelling of testicle can be due to inflammation,a condition known as orchitis. Although pain is a common association but sometimes pain may appear later on.This inflammation is mostly due to some infection.Treatment with antibiotic and hot fomentation help in relieving symptoms.I would suggest you to consult a pediatrician for direct clinical examination and management accordingly.Regards | |
What are the treatments for erection problems happening only during night?
Hi,my penis goes down sometimies before i try to ejaculate, it mostly happens in night time. but during day time i am consident and i am able to ejaculte and have good sexual intercourse. Please help me with this problem. is this a common problem for men, do we have any medicines to cure this.Regards,Rajesh | Hi,Thanks for writing in.There are many phases of erection and some of it is also controlled by emotions and foreplay. Sometimes in the night, intake of alcohol or certain addictive substances may inhibit erection. I suggest you avoid alcohol and any intake of any addictive substance if you are using. If you do not take alcohol or addictive substances then lack of erection may be due to stress and low energy levels. You must spend more time with your partner at night having foreplay and use lubrication jelly. Also try and keep your energy level high just before having sex by taking a nutritious dinner and taking some rest. | |
Is meningitis a contagious disease?
I received an email from my workplace today stating that an employee in my organization had potential exposure to a form of meningitis. They told me the state was notified and did not feel there was cause for concern. However I am someone with an very poor immune system and I am also around children who are under 2 every day. Apparently this person does not work on my floor and they are saying she was sent home by her health provide and not registered as having an infectious disease. Should I still be concerned about potential exposure? Do I need to avoid being around my sisters 3 young kids? | Hi,Thanks for writing in.The brain is covered by three layers of membrane called meninges and the different layers are named dura mater, pia mater and arachnoid mater. Meningitis is an infection of the meninges. There can be many causes of meningitis like bacterial, tuberculous, viral and fungal. It is due to the infection entering the blood stream of a person and then spreading to the covering of the brain. This is usually not infectious and you are safe in your workplace. Even considering that you have a weak immune system and living around your sisters kids, there is no additional risk of meningitis just because another lady was found to have meningitis in another floor of your office. Please do not worry. | |
Q. I am anxious about having hypertension at this young age. Please advise.
Hello doctor,I am a patient of hypertension which is now well-controlled with medicines (average 110/70). Also, I am having anxiety or stress due to my health as I am having hypertension at this young age. My cholesterol levels are Total Cholesterol 205, LDL 129, and HDL 48. My physical activity levels are extremely low due to my work schedule. Also, I feel tired and sleepy during the second half of the day. I used to have my dinner late at night, around 11.30 PM, go to bed between 12 to 12.30 AM and wake up at 6.30 AM. My pulse in the morning just after I wake up is 70 and most of the day it is between 80 to 90 and in the evening it is 90 to 100. On some days, my BP goes down to as low as 90/60 with no symptoms. | Hello. As you are on regular medication for hypertension, I just want to clarify when you were diagnosed and since when are you taking the medications. Also, please specify the name of the medication and its dosage. Hypertension at this early age is not so common unless there is a previous family history or in patients with severe stress. Regarding this hypertension, I think it is better to go with stress management and lifestyle modifications like diet and regular physical exercises will be enough rather than going for medications. Regarding cholesterol levels, it is better to have a protein-rich food rather than an excess amount of carbohydrates. The pulse rate is in the normal range. Try to be stress-free at work so that everything will come to normal. I just want you to have a BP recording for the next three to four days without using BP medication. For more information consult an internal medicine physician online --> | |
How to improve sperm count with history of HLAB27?
Sir I am suffering from HLAB27.It was detected in the year 2005.Since then I am having Saaz DS tablet.On 11/08/13 I got married.We had tried for last two months for pregnancy but was not successful. After that I have test my semen and found that my sperm count is low (12 million/ml).When I was fifteen i suffered from Mumps also. Now I want to know that can I improve my sperm count to be a father in near future? | Hi. Saaz DS can itself cause low sperm count. Plus there is a history of Mumps. Te Urologist and Hematologist only can you guide you very perfectly. Your wife too must be tested for HLAB27. | |
Q. Biopsy report shows carcinoma of urinary bladder. Please suggest a treatment.
Hello doctor, This is the biopsy test report of my father which we received today. Please suggest what treatment should be done. Clinical findings: Multiple papillary tumors in the bladder. Clinical diagnosis: T.C.C urinary bladder. Tissue forwarded: TURBT. Macroscopy: Gray white tissue bit together (M)2 .5CM(AE). Microscopy: The sections show neoplasm arising from the transitional cells and still recognizable of transitional origin. The number of cell layers are increased, more than ten mitosis present. Loss of polarity seen variable in cell size, shape, and chromaticity seen. Diagnosis: Grade II , Transitional cell carcinoma, urinary bladder. | Hello. The report is showing transitional cell carcinoma (TCC) of the urinary bladder (cancer of urinary bladder). In biopsy report, there is no comment on muscle involvement. That means we need to know whether the tumor is superficial or deep (involving muscle) also. They need to comment on the biopsy report on muscle involvement, whether involved or not or maybe the surgeon did not take muscle biopsy. In that case, they have to do cystoscopy again. Because treatment and diagnostic workup is different for superficial and deep (muscle invasive tumor). If superficial only, then simple surgery through cystoscopy to remove superficial tumors called TURBT surgery. After that, they may give weekly intrabladder BCG or chemo to prevent recurrence. Superficial urinary bladder tumor (TCC) is highly curable. But if the muscle is involved, then he must undergo further investigations like CT scan chest and abdomen, isotope bone scan and MRI pelvis to rule out the distant and local spread. After staging workup he will be planned for management, that is, surgical removal of bladder plus chemotherapy. If you have it, upload cystoscopy report also. For more information consult a medical oncologist online --> | |
Is there any side effect of consuming Nasomist from mouth?
hello Doctor, I have been advised to give Nasomist drops to my baby as she is suffering from minor congestion.However,by mistake while putting the drop in her nose,two drops trickled down her mouth. I am little worries of the side effects,can you help me with my concern.Appreciate your help in advance. | HiAccodental entry of Nasomist drops through mouth may not cause any side effects.It would be just digested in stomach.Do not worry.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician | |
Suggest treatment for viral diarrhea in 2 years old
Hello Doctor. My two and half year old boy had a viral respiratory infection since 14th July 2014. After 3-4 days he developed viral diarrhea. As on 24th July 2014, he has a residual cough and his stools are still pasty and dark colored. When will this condition resolve completely? | Thanks for posting your query at healthcaremagic. I am sorry to hear that your baby is not doing well. You have not indicated whether antibiotics had been given to him or whether they are still being given. Cough is generally caused due to a viral infection and has an allergic component alongwith. If antibiotics are given they also kill the beneficial bacteria and cause diarrhoea. It is more likely to be an antibiotic associated diarrhoea rather than a viral diarrhoea in this case.You can give him steam inhalation which will help in relieving the cough. After the course of antiobiotics are completed, the stool should gradually normalise. If I had a patient like this, I would give Enterogermina alongwith. In the meantime you should continue giving him proper diet and plenty of fluids to drink.Hope that I could resolve your query. Feel free to communicate back in case of further queries if any. | |
Fluttering in abdomen below rib cage. Have gastritis and Doudenitis. Explain?
Fluttering in abdomen just below center of rib cage. I can feel it all the way up my throat . When it flutters it feels like it is hard to take a breath. I am 32 male. I have Gastritis and Doudenitis. Had a hida scan with a 61% ejection fraction . I am burping alot. Ate homemade pizza then a banana then it started. Went to the ER and sent me home still with the problem. It is worse laying flat. | Hello, kibbeylester, You state that you have been diagnosed with gastritis and duodenitis. I am assuming this was after you had endoscopy and biopsy. Hope you were also tested for H.Pylori which is very common with the above conditions. The biopsy would show this and also there is a breath test to diagnose this. I am also assuming that you were precribed a PPI of some sort (Proton Pump Inhibitor) like Omeprazole, Lansoprazole, Rabeprazole or Esomeprazole etc. Getting GERD symptoms after eating Pizza is almost like test for reflux ! Cheese contains calcium and it can stimulate more acid production. Tomato sauce (Tomato products), caffeine in coffee and tea, alcohol, citrus drinks and fruits all add to acid stimulation. I am sure you probably have some inflammation of the lower esophagus at the junction of the stomach. Laying flat makes it easy for the acid to travel back up into your esophagus because of the weak sphincter muscle. If you do take the PPI, make sure you take it about an hour before you eat ,twice a day for 4-6 weeks or even longer if needed till you are symptom free. I wish you well. | |
Had giddiness, liver infection, hepatitis B. Given liv 52 tablets. What diet is to be followed?
Hi Doctor, I had a check up of my blood sice i was feeling hot without reasons and like little giddiness .Doctor told liver infection and it could be Hepatitis b or c .And given liv 52 tablets after each meals 2 tablets 3 times.I used to have outfood from restaurant oftenly .What exactly it is and what food i have to avoid and what food good.And i stopped heavy alchohol before 8 months and now i used to have once in a week. | Hi Friend ... Welcome to Health Care MagicI will help you to know more information about what to do and what to avoid to recover health to normal.Reduce your activity level to match your energy level and slow down when you are tired.Don't go to work unless your workload can be reduced to match your energy level.Avoid strenuous exercise.As you start to feel better, go back to your regular activities gradually. If you try to meet your regular pace too soon, you may get sick again.It is important to eat well, Nausea and loss of appetite become worse as the day goes on. Try eating a substantial (but not heavy) meal in the morning and lighter meals later in the day.I recommend a high-calorie, protein-rich diet to people who have hepatitis. And such foods can be hard to eat when you feel nauseated. Try to have a balanced diet while eating foods that appeal to you.Avoid being dehydrated.Acetaminophen can make liver disease worse, especially if you continue to drink alcohol.You should avoid alcohol until your doctor feels that your liver is completely healed. This may take as long as 3 to 4 months.Hope this information helps you to get back to normal life.Take Care. | |
Why am I bleeding post mirena insert?
Hi.. I had the mirena coil fitted 10 days ago. I have been bleeding for the last 8 days... I stopped slightly for one day in the middle but now the blood is just like I have cut myself blood.. bright red.I have had the mirena before and never had this. Is it normal? And how long could it go on for.ThanksAimee YYYY@YYYY | Hi Hope this message finds u in good health.I have gone through ur msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body,though there may be other reasons as wellNothing to worry about, You should eventually get back to normal.Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsenGet back to me for any FOLLOW UP QUERIES anytime.Regards,Dr Mahaveer Patil...(MBBS,MS,Mch) | |
What does fibrotic and hazy densities seen in upper lung suggest?
Hi Doctor i am Marco 24 years old i have already recommend for apico lordotic view and the result is - Fibrotic and hazy densities are seen in the upper lung , Impression : Consider PTB.I want to know what does it mean? if there is a possibility after treatment was completed there is no scar seen on the XRAY? thank you doctor for giving me an idea for what findings i have encounter on my xray | Fibrotic itself means that it is healed and still if you have symptoms of tuberculosis you should get your sputum examination for AFB and mantaux test done. Sputum examination is more important. If you can afford you can undergo quantiferon gold test for tb. But if there is fibrotic changes only no need to take TB treatment in that case | |
What causes pain in nipples with erectile dysfunction?
I am a 66 years male. I have erectile dysfunction for the last 15 years. The Penis has shrunk in size and since last one week I am experiencing pain in both my nipples. There is no lump. Is this serious? I am hypertensive with Ankylosing spondylitis (bamboo spine) | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Erectile dysfunction may be related to senile age and psychological upsets. You may consult the psychiatrist if you really need to get improvement in erectile dysfunction. Hope I have answered your query. Let me know if I can assist you further. Thanks | |
How can L2 and L3 injury with sciatic nerve pain be controlled?
I have a severe problem with sciatic nerve pain. This is the 3rd time it has taken me down in the last year. I have injury to L2 and L3 I also have been I have nodes in those same area. I do not have insurance but I need some serious pain control. I am at wits end and have no quality of life like this. What are my options? | Dr. Hanif warmly welcomes you!Thanks for consulting at my virtual clinic HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.Such injuries usually are treated after some diagnostic tests and Neurosurgeons handle such issues and sometimes may be a need for surgical correction. But as you don't have an insurance, I am bound to symptomatic treatment options to relieve pain effectively.Apply Lumbosacral corset for support of the Lumbar region and help for pain relief.Apply Bengay ultrastretch ointment and massage gently. Then apply ThermaCare HeatWrap around the lumbar area. It will help you get relief from pain.Take Fioricet with codeine for prompt relief of extreme and unbearable pain. Otherwise take only Tylenol for pain.Take a polyvitamin with essential minerals in it daily.For patients with such issues Physical Therapy works best as an alternative treatment therapy. It is effective in relieving pain and increases ease in mobility.Hope I answered all of your questions. Please click on 'I Find This Answer Helpful' and don't forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too to let me know if you have any doubts & need further assistance. I am available 24/7 for providing you my expert medical opinion on any issue. Have a blessed time ahead. Regards!DR. MUHAMMAD HANIFUSA | |
How can anxiety and depression be treated?
I have suffered with anxiety/depression disorder for years - mostly anxiety. I take 30 mg Lexapro, 75 mcg (changed from 100 mcg about three months ago synthroid (hypo) daily. Also, I take clonazepam 1/2 to 1 mg twice a day. At night I take 11 1/2 mg Seroquel for sleep. I m not happy about taking meds, and I believe for psychiatrists it s a hit or a miss. Now dr wants me to take Vraylar with the Lexapro - ( this is a psychotropic drug which scares me). I have difficulty with over-thinking everything, indecision and concentration issues - anxiety. Often I cry for any reason, and sometimes I have a really ugly cry from built up frustration. I don t want to take any meds except the thyroid med (I have done extensive reading about the thyroid and still believe my issues have a great deal to do with that, and I had a complete hysterectomy at 50. Took HRT Premarin for several years, and suddenly my dr took me off of it due to the breast cancer scare - no estrogen. I am 70 now and weary from taking meds that cause balance issues and foggy brain. I do see a wonderful talk therapist in the same office. Do you have any suggestions? Thank you very much. Patricia YYYY@YYYY | Dear userWe understand your concernsI went through your details. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and Continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. I assure you complete cure. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Increased parenchymal echogenicity of both kidneys with ill definted cotico medullary differentiation. Serious?
my current problem is to show that usg report says that slightly increased parenchymal echogenicity of both kidneys with ill defined cortico - medullary differentiation. and B.p is 140/85mmofhg, urea is 27mg/dl, creatinine is 1.6mg/dl,urine protein is nil but rbc NIL, BUN 12.7 ,URINE protrin ,blood,keatone,bilirubin,lerukosite, nitrate andmicroalbumin all are negative.can be seen.so in this what should i do? is it complicated disease or not? I am very much worried. Please give me a right suggestion.left kidney9.2x4.0cm,right Kidney8.4x4.2cm Pvru 25ml 4mm calculas in left kidney, prostrate 42CCINCREASE IN PARENCHYMOL ECHOGENSITY,CORTIMEDULLARY DIFF.IS DISSURBED | Hello and welcome to HCM,The report that you have posted is of both ultrasound of the kidney and the urine microscopy.The ultrasound reveals a stone measuring 4 mm in the left kidney.As a result of this stone, there is some deviation from the normal structure from the normal.There is blurring of the cortex and medulla of the kidney which is well demarcated in healthy kidneys.This is not a serious disease.However, prompt intervention will reverse the changes caused in the kidneys.Removal of the stone should be done because with the enlargement of the stone, back pressure changes on the kidney will cause dilatation and hence damage to the kidneys.Kidney stones are commonly associated with urinary tract infection (UTI) however, the urine is clear in your case.The kidney function tests are also within normal limits. Thus, the kidney functions are not affected by the stone till yet. Long standing cases of stones can lead to impairment of kidney functions. Consult an urologist for further management of the stone.Thanks and take careDr Shailja P Wahal | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest treatment for severe knee pain
I have had posterior knee pain since April, it s pretty uncomfortable. I can squat or bring in my leg with it all the way flexed if that makes sense. I was working out when it started to hurt. So far MRI has come up clear for my knee and x-Rays are fine. Two orthopedist and still have no idea??? | HiWelcome to healthcaremagicI have gone through your query and understand your concern. You are likely to be having osteoarthritis of knee joint.You are likely to get benefitted by Diacerine and glucosamine. Quadriceps excercises are of help. You can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. | |
What is the treatment for hematoma?
I have remnants of a hematoma on my forehead, just above my eyebrow, from hitting the side of the tub. the blood drained down daily between both eyes, which has now disappeared. This was one month ago, and although it has reduced about 90%, there is still a knot there. Should I massage it or leave it alone? It is still tender to the touch. | Hello and welcome to HCM,A hematoma usually clears away in 7-10 days.The knot that you are having could be due to fibrosis, a sequlae of hematoma.Massaging will not help.However, you can consult your primary healthcare provider for a X-ray of the forehead to know the cause of knot- bony swelling or soft tissue swelling.Management can be planned after clinical assessment and imaging.Thanks and take careDr Shailja P Wahal | |
What causes abdominal pain, vomiting and loose motions during pregnancy?
hi, my wife is pregnant and she has completed 5 months now. Everything was normal till now and level 2 reports were also fine. But suddenly yesterday she had pain in upper abdominal which was unbearable for sometime. She had medicine suggested by her doctor. But on the next day she is having loose motions and feeling of vomiting. is that serious....? please reply | Hello dear, I understand your concern.In my opinion there is nothing serious regarding your condition.The pain upper abdomen along with vomiting could be due to gastritis.Gastritis is routinely seen in pregnancy.The loose motions can also be due to any stomach infection.Dont worry.Take antacids.Avoid spicy and oily diet.Adequate fluids upto 3 litres per day and electrolyte powder are useful.Take bland diet.Antiemetics are also needed.Relax.It will subside.Best regards... | |
Suggest treatment for a painful lump appearing under the buttocks
large golf ball lump under butt between legs more to the back. Seems to be right under the butt on the muscle, have really bad sciatica, is it the lump or my lumbar or both?? I had a cortizone injection because they thought it was my back, but im starting to worry because that did nothing for the intence all the time pain. Who should i see?? | hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst (a sebaceous or a keratinous type) or a gluteal abscess. management (medical and surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | |
What causes blisters under the tongue?
I was brushing my teeth last night and all of a sudden my mouth started bleeding. Not bad but blood was all over my toothbrush and I had no idea where it was coming from. I looked under my tongue and did see some polyp type things under me tongue. It looked like the blood might have been coming from one of the polyps. Any thoughts ??THANK YOU! | Hello dear Warm welcome to Healthcaremagic.comI have evaluated your query in details .Wishing you fine recovery .Feel free to ask any further doubts .Regards .Dr. Bhagyesh ( MS , FMAS - consultant surgeon )Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* Seems possible rannula below tongue , which may have injured during brushing giving blood .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards .Dr. Bhagyesh ( MS , FMAS - consultant surgeon ) | |
What causes irregular heart beats?
hi, i have some hearts problems, i fell like my heart stops for a second or 2, i am 20 now and i have felt this since i was 12 or 13 years old.it happens most when i am in anxiety for smth, but also happens when i am relaxing or doing nothing.i am scared about it, i think that when it stops it won t beat again.please what can i do? | Hi, The symptoms you are having looks like VPC'S, which is an extra beat originating from places other than the normal conducting system of the heart. These can be abnormal or normal depending on the condition of the heart. I'll advise you to get an ECG and 2D echo did to rule out whether it is related to heart or it is just because of anxiety, which can also cause such type of arrhythmia (called as Sinus arrhythmia). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist | |
What does moderate left foraminal stenosis indicate?
Hi Dr. Grief, I had a Lumbar spine MRI done today for lower back and leg pain. My report states that L5-S1: Grade 1 retrolisthesis. Minimal disc bulge without significant canal stenosis. Mild right and moderate left foraminal stenosis. Can please explain to me what this means? | Hello Thanks for writing to usAccording to report,you are suffering from mild degenerative disc disease of lumbar spine.Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.1.At L5-S1 level,there is grade 1 retrolisthesis(means posterior movement of S1 verterbra ) and minimal disc bulge without significant central canal stenosis.Disc bulge is causing mild right and moderate left neural foramen stenosis. Majority of the cases of degenerative spine disease are benefited by physiotherapy,so physiotherapy should be tried first.Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. Treatment can be planned after consultation with neurosurgeon.Get well soon. Take Care Dr.Indu Bhushan | |
What causes dizziness while suffering from severe anxiety?
I have a lot of anxiety and I m not for sure why, ive been feeling dizzy and I feel like I m going to pass out when I walk. I have rapid heartbeat and it goes faster when I stand up, please help me understand whats going on, thank you. I ALSO HAVE ANXIETY AND DEPRESSION AND I TAKE MEDICATION FOR IT. | Hello! Welcome to HealthcareMagic! I have gone through your question and understand your concerns. it appears like your suffering with generalized anxiety disorder. Also, you added that you're taking medication for anxiety. In my opinion, I feel that the dose that your actually using may not be sufficient. I suggest you to 1) Escalate the dose of the drug. Most commonly, Anxiolytics are prescribed. It includes SSRIs or TCAs. Benzodiazepines too can be used to stop the attack. 2) Counselling techniques like cognitive behavioral therapy, systemic desensitization and biofeedback are also useful. 3) Daily practicing stress relieving techniques like: lifestyle modifications, regular physical activity, relaxation techniques like mindfulness and meditation also help in reliving anxiety. Hope that clarifies your concerns. Thank you for the query. Take care Regards, Dr. Bhagawan Rajana, Psychiatrist | |
Q. Is it advisable to consume steroids while trying to get pregnant?
Hi doctor, I have been diagnosed with sinusitis, cold and ear infection for more than 10 days. Took antibiotics with ENT doctor consultation, I could see improvement in sinus pain, cold but one ear still remains clogged, finding difficulty in hearing. When checked with doctor, I was informed that the fluid has entered deep and need steroids to recover it. I have been prescribed Prednisolone 5 mg for 15 days with 6 tablets per day for first five days, then 4 for another 5 days and two for remaining 5 days. Along with this steroid, doctor have given Clarinase and one more tablet named Gasec for preventing the stomach related issues as side effect of taking steroids. My queries are is it fine to take such tablets while trying to conceive? If not, how many months I have to wait for conceiving? Is it the right treatment for clogged ears due to sinus? What type of side effects can I expect due to this steriod? | Hi. If you are trying to get pregnant you must stop Steroids because it has a harmful effects on the nervous and immune system of the fetus but do not panic because you have taken a small dose of Steroids for a short period. Yes, Steroids are one of the best treatments for the collected secretions behind ear drum after sinusitis and common cold. You can start trying to be pregnant the next few days from stopping Steroids. Do not wait for side effects as the dose is small, the period of treatment is short. | |
Q. What is the dosage of Yasmin in a first time user after unprotected sex?
Hello doctor, I had unprotected sex about 12 hours ago. No ejaculation occurred but I knew there was still a risk of getting pregnant. I am thinking of using the Yasmin pills as a form of emergency contraception. Note that I have never taken the pill before and this would be the first time. I have read that I should take four tablets of Yasmin at a time and another four tablets after 12 hours. Would this still be the same if I had never taken the pill before? What will be the possible side effects of the high amount of dosage for the first time? Please advice. | Hello. Yes, as you have read, Yasmin (Drospirenone) can be used as an emergency pill. Even if he has not ejaculated, you still stand a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact. This regimen is called yuzpe regimen where it is suggested to take four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. You shall get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Some women who use this method experience mild nausea and maybe even some vomiting. If you throw up within one hour of taking your pills (either the first dose or the second dose), you have got to call your health care provider. There is a chance you could have thrown up the pills which would make this method ineffective. If that happens, you may need another dose and/or some anti-nausea medicine. To help prevent you from feeling nauseous, take your pills with food. It also helps if you time your second pill so that you take it just before bed. That way, you will sleep through nausea. There is also the potential for spotting, breast tenderness, and headaches. This is true with birth control pills in general and it is usually nothing to worry about. That said, if you experience more severe side effects, please call your doctor. It is always better to follow up with a health care professional when you have a reaction that concerns you. | |
What does progesterone level of 17 indicate if trying to get pregnant?
A friend of mine is trying to get pregnant and the dr tested her progesterone level. It came back as a level of 17. We are wondering if that is an indication of ovulation, all the home ovulation tests have come back negative for the past three mnths. | HiGREETINGS Progesterone level depends on which day of your cycles you are doing the test.Since you have not mentioned that difficult to predict.Hope my answer helps you. Regards | |
How to treat bruises and swollen forearm?
i was waterskiing the otherday and the rope got a bunch f slack in it and i didnt notice. Then the slack pulled out and violently ripped the handle out of my gripping hands. Now my whole inner forearm is bruised and tender. I have full mvement fingers and arm but forearm is swollen | Hello, The bruise and tenderness in the forearm are suggestive of a hematoma formation. A bone injury is also likely. Do get an X-ray of the area for proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | |
Trying to conceive. Had unprotected sex. Started bleeding. Pregnancy test negative. Pregnant?
HI THE STARTING DATE OF MY LAST PERIOD WAS THE 10/11/2012 AND IT ENDED ON THE 16/11/12. IM TRYING TO FALL PREGNANT. I HAD UNPROTECTED SEX ON THE 23/11/12, 25/11/12, 29/11/12, 01/12/12 AND 03/12/12. I DONT REALLY KEEP TRACK OF MY MENSTRUAL CYCLE. I STARTED BLEEDING HEAVY ON THE 07/12/12 TILL THE 09/12/12 AND TODAY IS THE 10/10/12 AND ITS VERY LIGHT NOT MUCH BLOOD AT ALL BUT MY BACK AND SIDE IS PAINING WITH SLIGHT STOMACH PAINS. I TOOK TWO HOME PREGNANCY TEST AND BOTH WERE NEGATIVE. I REALLY WANT TO KNOW IF THERE COULD BE A CHANCE THAT IM PREGNANT? | Thank you for asking What you have is regular period and you are not pregnant Better to have regular sex in the middle 10 days of your cycle | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Q. Why do I have severe pain in my leg?
Hi doctor, I am a 59 year old female. I underwent radical mastectomy before one and a half years and undergoing regular checkups for every six months. Recently I had pain in the right leg, from the knee to ankle region. I got an entire medical checkup done. They showed high TSH levels and also high urea level. Please review the attached reports and provide your advice. Till now never had diabetes, but little higher side sugar levels seen. My current medication includes Tamoxifen 20 mg for the last nine months, Losamax-H and Absolut 3G. Thank you. | Hello. I had gone through all the reports posted (attachments removed to protect patient identity). Many of the reports posted were normal, so to make it easy for you I will comment on each of abnormal ones and what to be done for them. For further information consult a general medicine physician online --> | |
What causes red itchy widespread rash all over my body?
i developed a very red itchy wide spread rash all over my body but especially on my torso after finishing my antobiotics ---is there a natural remedy that i can do or take to help the rash to get better please dont send me any attachments on my email if possible | Hello. Thank you for writing to us at healthcaremagicOne possibility that I can think of as the reason for widespread rash is a drug reaction probably to Oral antibiotics.Maculopapular drug reaction is the most common type of drug reaction to Oral antibiotics.If I was the treating doctor I would suggest you to try an OTC topical soothing lotion e.g calamine lotion, twice or thrice daily.An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.If the rash does'nt respond as expected with this treatment, I suggest you to review it with a dermatologist.A severe drug rash may warrant a course of an Oral Or injectable steroids.Regards | |
What causes chill in the lungs on using inhaler?
Hi, may I answer your health queries right now ? Please type your query here... I've had a couch for a few days, some times it's productive and sometimes it isn't, but now when I use my inhaler my lungs feel like I'm breathing cold air. It's not apleasant feeling. What causes this? | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This phenomenon is in relation with effect of molecule of the inhaler which is usually bronchodilator with or without steroid over the mucosa of the respiratory tract ( bronchi , alveoli ) .Hope this clears your query .Regards . | |
What is the treatment for sever abdominal pain?
yes thank you this morning I got up with pain that seemed to be in my stomach and some times it would radiate up toward my chest and sometimes down toward my intestines what could this be this is the first time for these symptoms thanks for any advice I am a 78 year old woman | HiIt can be due to severe gastritis or any abdominal infection or something else.Please take antacids like gelusil added with pantoprazole,if the pain still persists,i would suggest you to see your doctor.You may require some blood tests or USG abdomen to evaluate the pain.Until then avoid spicy,oily,jeavy meals.All the best | |
What causes weakness in left hand after brain stroke?
Hello I am Bharat From Baroda, Gujarat, India. I had brain stroke last month on 10 th February, i reached hospital within 1 hour and doctor found clot on right side of head and i was given injection for removal of clot which was removed when again CT scan was done after 3 days. I have been advised to Election Stimulation on left side of face. After some days is noticed weakness in my left hand an it does not work in synchronization with my right hand. Can you please help me wi the solution for my hand Thanks Bharat | you are having infarct in the right middle cerebral artery territory.weakness of left hand at a later time suggests progression of the infarct.you should go for regular physiothetapy besides medication like atorvastatin,aspirin 150 mg once daily. | |
Diagnosed with H. Pylori, losing weight, excessive gas, rumbling in stomach. Any relation to stomach cancer ?
Hi, I am 32 years old female, have been losing weight over the past month, with a three pound loss over the past 5 days. I always feel hungry, same feeling as when I was diagnosed with h. Pylori about 3 years ago, which was since treated. I also have been having excessive gas, and my stomach rumbles continuously, even though I am eating normally. I do have IBS. Upon palpating my epigastric to mid gastric region is very tender at times. The weight loss is what worries me as to stomach cancer, however with the excess gas, I am wondering more about malabsorption syndrome. I would really appreciate your opinion, I am very worried. Thank you | Hi and thank you so much for this query.I am so sorry to hear about what you have been experiencing. Loosing 3pounds over 5days points more to insufficient intake than cancer as a possible cause. It is probably the digestive symptoms that have made you not to eat as much as you would that explains this weight loss. Mal-absorption would present with diarrhea. That is the cardinal sign and you have not reported any.I will suggest that you get evaluated again. You may have another gastritis episode that warrants treatment. Also, read as much as possible on IBS and how to use lifestyle modifications to help relief symptoms on like increasing fiber, reducing foods with excess gas, using antispasmodics etc.I hope you find this helpful and it addresses your query fully. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health.Dr. Ditah, MD | |
What causes passage of few drops of blood after urination in a child?
My 4 year ols id having 4-5 drips of blood coming out after urination..some times its bright red others pink,and some times no blood.I am waiting for a culture to come back anf the urologist cant get him in til the end of the month..what is going on with my baby? | With blood in the urine, it indicates that there is an infection somewhere along the urinary tract. It could be a kidney infection or bladder infection. Blood can also indicate a possible injury to the genitals. It is important to ask questions to your child to find out if anything did occur. If the urine culture comes back normal, I would have a scan of your child's genitals to find out if there is an injury. I'm not sure if you have a little girl or boy but boys can get urethritis, which can also have drops of blood or mucus.Good luck | |
What can cause gas and body ache with impotence?
Whenever I wear my compression shorts I get bad gas like really bad, but after dinner I always have bloating and gas but usually only after dinner, I use to have intestinal cramping but for the most part that has gone away though I still get it on and off, I have mucus always draining down the back of my throat, whenever I go to bed my right lower back hurts, a few nights ago the bottom of my feet were tinkling and last night my left knuckles were tinkling, I have also have impotence and lack of ability to produce testosterone. I am only 19 years old and would like to know what is going on with me? Can you please tell me? I have NEVER done any drugs. | Hi, The impotency may be due to lack of nutrients and improper food. You can take calcium supplement and multivitamin to improve your testosterone level. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | |
What do small moles below the penis indicate?
My boyfriend has small mole like lumps at the base of his penis and I was wondering what it could be. Colon cancer runs in his family and there is a 50% chance that is what he has however his doctor did mention other possibilities and I was wanting to know what those possibilities are? | Hi, dearI have gone through your question. I can understand your concern. He may have some benign tumour or other lesion. Colon cancer has no relation with mole. He should go for biopsy to know the exact diagnosis then he should take treatment accordingly.Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What causes garlic like smell from toddler s diapers?
Hello, my almost 17 mo. old daughter s peed diapers smell REALLY rank the past couple of days! It s not a strong smell of urine, it s a much stranger odor! When I get a whiff of it, I think she is pooped, but when I open her diaper to change her, it s just pee! I started sprinkling garlic powder on her eggs every morning for the past week to week and a half, so that is the only thing I can come up with as to why it smells so bad! It does kind of smell like garlic. Could that be the cause of this terrible odor??? | HIWell come to HCMI really appreciate your concern for your daughter, more important is clinical symptoms if the child is doing well then you need to worry about this, at the most urine can be sent for analysis just to clear the doubt else such smell is just likely when urine remains there for some time in diaper, hope this information helps, take care. | |
Q. Is it possible for the rabies virus to survive outside the host animal under sunlight?
Hello doctor, Can the rabies virus survive outside the host animal under sunlight? | Hi. Rabies virus is not very robust under external environmental conditions. Direct sunlight and lack of humidity are very deleterious to its survival. It might survive for a couple hours or so, but there is no definitive proof. Rather what is important are the precautions that one should take if contracts virus. For example, washing contacts with soap and water are extremely essential. If the directly contacted skin is broken or cut then one may consider vaccination too. Let me know if you have any further queries. | |
Is it painful to have a stent removed from a kidney that was placed during removal of stones?
Is it painful to have a stent removed from a kidney. Is this a common office procedure and do they typically administer pain meds or something to ease the pain. I have been scoped before and I dread the removal of the stent that was placed in my kidney after the removal of several stones. | HIThanks for your queryRemoval of stent is done under a suitable anesthesia (usually a short general anesthesia) and the procedure itself is then quite short and painless. There might be a mild post operative discomfort.Hope this helpsGood luck | |
Q. My right vision is getting blurred while using new glasses. How to correct it?
Hi doctor, I wear glasses with a minimal prescription of - .25 with slight astigmatism and + 2 reading. Recently, I got a new pair of progressive lenses. I am finding that my right eye cannot focus properly and it is always blurry. First, I thought that the prescription was wrong. But after making many attempts with my new lens, I was able to notice that my old progressive lens had an incorrect pupillary distance by 2 mm on my right eye. I wore that glasses for three years, and I was unaware. I am worried whether wearing glasses with PD by 2 mm so long have caused any adjustments in my right eye? Why is my eye blurry? I was wondering why my new lenses were not focussing correctly as they were present with a correct PD. Is it possible to retrain my eye to focus accurately? Can I start wearing a single vision lens which can help me for a while? | Hi. By going through your query, I can understand that you are suffering from intolerance to progressive lenses. It can be due to an increase in near vision with age. It is not due to incorrect PD (pupillary distance). If you work on a computer, intermediate vision glasses can provide you more comfort rather than progressive. Intermediate vision glasses gives the support of vision when they are used for indoor work and reading. For distant vision, you may choose to remove your glasses. In case, if both of your eyes are not working together (binocular vision defects), a change in IPD (interpupillary distance) may develop. In that case, few tests for binocular vision can help. Also, some types of cataract or glaucoma in early stage produces glass intolerance, and it leads to a frequent change of glasses in an older age group. A slit lamp examination and dilated fundus examination are advised to rule out the causes of glass intolerance. | |
What causes pus filled bumps on the thighs?
Hi I have been getting bumps on my thighs a lot my wife suggests its where I work outside and swear a lot. Well I usually pop them but this one I tried popping and it sounded like it did under the skin. Well checking on it today wherr the bump is a circle like a bruise around it. Should I get this checked out or what | HiAs per your description, it looks like multiple sebaceous cysts. They will release pultaceous material once it's squeezed.Please keep the area clean.I prescribe Antibiotic like Cefuroxime tablet along with Anti inflammatory tablet to my patients with similar complaints. Regards |
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